Chad A Bennis is a Chiropractor in Sebastopol, California. Chad A Bennis practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Chad A Bennis is 1720249485. The last update date is 2016-10-19.
Chad A Bennis's current location address is 978 Gravenstein Hwy, Sebastopol, California. You can contact this provider via phone number 7074952192 and fax number 8668224613. The mailing address for Chad A Bennis is 978 Gravenstein Hwy, Sebastopol, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chad A Bennis |
|---|---|
| Address | 978 Gravenstein Hwy, Sebastopol, California |
| Phone Number | 7074952192 |
| Fax Number | 8668224613 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1720249485 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2016-10-19 |
Provider Mailing Address Detail
| Address | 978 Gravenstein Hwy |
|---|---|
| City | Sebastopol |
| State | California (CA) |
| Post Code | 95472 |
| Phone Number | 7074952192 |
| Fax Number | 8668224613 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1107 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique provider identifier assigned to Chad A Bennis?
The Chad A Bennis has been issued the NPI (National Provider Identifier) 1720249485 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Chad A Bennis is geographically located?
The Chad A Bennis is physically situated at the following location: 978 Gravenstein Hwy, Sebastopol, CA, 95472.
What is the Chad A Bennis's specialty and taxonomy code?
The Chad A Bennis's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720249485 to Chad A Bennis?
The Centers for Medicare & Medicaid Services originally issued the 1720249485 to Chad A Bennis on 2008-06-24.
When was the information regarding Chad A Bennis most recently updated?
The details pertaining to the Chad A Bennis, including its address, specialty, and other relevant information, were last refreshed on 2016-10-19.
NPI Number: 1528061710
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